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Assessment of psychophysical capacities for professional work in late middle age and at the beginning of old age

100%

Ćwirlej-Sozańska A., Wiśniowska-Szurlej A., Wilmowska-Pietruszyńska A., Sozański B., Wołoszyn N.

Medycyna Pracy

2018

vol. 69

issue 4

375-381

Background In Poland average life expectancy extends, while the number of the elderly who are active in the labor market decreases. Material and Methods The study population consisted of 429 people aged 50–70 years old living in the community of south-eastern Poland. The respondents were divided into 2 study groups: group I – late middle age (50–60 years old) and group II – early old age (61–70 years old). With the use of questionnaires they were given, we obtained their socio-demographic data, assessed their cognitive and emotional state, as their physical activity levels. We used the Tinetti test to assess their gait and balance. Results We did not find statistically significant difference in cognitive functioning between the studied groups (p = 0.109). Moreover, there was no significant relationship between belonging to an age group and suffering from depression (p = 0.06) as well as no major differences were observed in the general level of physical activity in relation to age (p = 0.112). Our study found that most of our subjects, regardless of gender, declared their willingness to continue professional work after reaching retirement age. Conclusions The results of own research did not show significant differences in psychophysical state between people in late middle age and at the beginning of old age. Most of the researched participants declared their willingness to continue professional work. Due to changing demographic conditions, it is becoming an important issue to maintain the highest possible level of professional activity of older people in the labor market in Poland. Med Pr 2018;69(4):375–381

Jakość życia osób z chorobą Parkinsona w kontekście pracy zawodowej i rehabilitacji ruchowej

67%

Cholewa J., Gorzkowska A., Nawrocka A., Cholewa J.

Medycyna Pracy

2017

vol. 68

issue 6

725-734

Background Of many diseases and disorders of the nervous system Parkinson’s disease (PD) deserves a particular attention for its specific effects having an impact on the ability to undertake different forms of professional and economic activities. Due to the constantly growing incidence rate and the lowering age of patients, PD is becoming more and more serious social problem. The aim of this study was to determine the effects of professional work and physiotherapy on the quality of live in people with Parkinson’s disease. Material and Methods The research was carried out on 109 people with diagnosed PD of stage II according to the Hoehn and Yahr classification. They were divided into professionally working and non-working subjects and those participating and not participating in physiotherapy programs. The Unified Parkinson’s Disease Rating Scale (UPDRS), was used to estimate the patients’ clinical status. The Parkinson’s Disease Questionnaire (PDQ-39), the Quality of Life Short Form (SF-36) Questionnaire and the Parkinson’s Disease Quality of Life Questionnaire (PDQL) were used to estimate the quality of life. Results In all groups statistically significant differences were observed in each of the used scale. The PDQ-39 (F = 5.278, p = 0.04), SF physical component (F = 4.24, p = 0.005), SF mental component (F = 3.45, p = 0.021), PDQL (F = 6.57, p = 0.003). The highest quality of life was noticed in people working professionally and participating in physiotherapy programs. Conclusions Professional activity and participation in properly planned physiotherapy help reduce the symptoms and improve the quality of life of people with Parkinson’s disease. The study showed that the quality of life of people with PD is determined by professional work and participation in the process of rehabilitation. Med Pr 2017;68(6):725–734

Wstęp Z wielu schorzeń i zaburzeń układu nerwowego, których swoiste skutki wpływają na możliwość podejmowania różnych form aktywności zawodowej, na szczególną uwagę zasługuje choroba Parkinsona (Parkinson’s disease – PD). Stanowi ona coraz większy problem społeczny ze względu na rosnącą liczbę zachorowań i coraz niższy wiek pacjentów. Celem badań było określenie wpływu pracy zawodowej i rehabilitacji ruchowej na jakość życia osób z PD. Materiał i metody W badaniach uczestniczyło 109 osób z rozpoznaną PD w II stopniu zaawansowania według skali Hoehn i Yahr. Badani zostali podzieleni na osoby pracujące i niepracujące oraz uczestniczące i nieuczestniczące w procesie rehabilitacji. Do określenia stanu klinicznego zastosowano Ujednoliconą Skalę Oceny Choroby Parkinsona (Unified Parkinson’s Disease Rating Scale – UPDRS). Do określenia jakości życia wykorzystano skale: Kwestionariusz Choroby Parkinsona (Parkinson’s Disease Questionnaire – PDQ-39), Kwestionariusz Oceny Jakości Życia SF-36 (SF-36 – short form, wersja skrócona) i Kwestionariusz Jakości Życia Osób z Chorobą Parkinsona (Parkinson’s Disease Quality of Life Questionnaire – PDQL). Wyniki Uzyskane wyniki wykazały istotne statystycznie różnice międzygrupowe w ocenie jakości życia we wszystkich badanych skalach: PDQ-39 (F = 5,278, p = 0,04), SF komponent fizyczny (F = 4,24, p = 0,005), SF komponent psychiczny (F = 3,45, p = 0,021) i PDQL (F = 6,57, p = 0,003). Wnioski Aktywność zawodowa oraz udział w odpowiednio zaplanowanych zajęciach fizjoterapeutycznych wpływają na zmniejszenie stopnia nasilenia objawów i poprawę jakości życia osób cierpiących na PD. Badania wykazały, że jakość życia osób z PD jest uwarunkowana pracą zawodową i udziałem w procesie rehabilitacji ruchowej. Med. Pr. 2017;68(6):725–734

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2 Medycyna Pracy

1 Cholewa J.

1 Gorzkowska A.

1 Nawrocka A.

1 Sozański B.

1 Wilmowska-Pietruszyńska A.

1 Wiśniowska-Szurlej A.

1 Wołoszyn N.

1 Ćwirlej-Sozańska A.

1 2018

1 2017

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Assessment of psychophysical capacities for professional work in late middle age and at the beginning of old age

Jakość życia osób z chorobą Parkinsona w kontekście pracy zawodowej i rehabilitacji ruchowej